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HomeMy WebLinkAbout2012-00962 - roofing CITY OF ORONO * z 0 1 Z — fd 0 9 6 2 * � 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2012 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3339 CRYSTAL BAY RD PIN : 17-117-23-41-0021 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 008 BLOCK 000 PERMIT TYPE : MINOR ALTERAT[ONS NROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 6,000.00 NOTE: VALUATION O�P�RMIT: $6,000.00 ROOF[NG PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TGAR OFF INSPECTIONS. (WE REQUIRG 24-48 NOT[CE,YRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PIC"CURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY 13E ON THE PROPERTY DURING THE T[ME THE ROOF IS BEING DONE. ONCG WORK [S COMPLE'1'r;D"CFIE SIGNS MUST[3E REMOVED. APPLICANT PERMIT FEE SCHEDULE 132J5 WTC HOMES, INC. STATE SURCHARGE(VALUATION) 3.00 9731 MADOWLARK LN CHANHASSEN, MN 55317- TOTAL 135.75 (612)685-5580 Minnesota State License#:264820 OWNER HOFER,JOHNATHAN &THERESA 3339 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall bc performed accordinb to the approved plans and specifications,applicable City approvals,and thc State Building Code. This permit is for only thc work described and docs not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be rcvo e at any tim due cause. r�� � - , (� , �=3 c��.�, �,� ��,,.���_ r-, , _ Applicant Permitee Signa re Date ��� Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRiBED ABOVE. ���� �� ����c� , ����E�6il� E�'��'�i� �,��E�C���E)I� '��C ��6F�'�e�a€�c� � �er�e��at��� . (�nri€�aa�.��, �oa€-s, siair��, €��-rQof, ��c.} �- 2� z- Maiiing Aadress: I Permit numbsr. //=�v�,�- PO Box o6 I /�� �, �� Crysial Bay, MN 55323-OOri6 ' �ate:received: � , I�a �� �?P�-�' �, � Sfreet Address: Received by.: �~�'�, .k�'�'�y � � 2750 Kelie Parkwa ,'�^;��'��' ° Y Y Plan.reviewfee: �'�ESH�4� Orono, MN 55356 Main: 952-249-46Q0 Fax: �52-249-4010 www.ci.orono.mn.us II To:al �ee: This application rorm must be completeo in rull and all required information must be submitted. incompfete applicaiions will be returned. (Please print) u�N=RAL INFORMATIOn• Job Site Address: ��� 1 � Wil! this be a Parade ot Fiomes, Remodeiers Show.. se Home or oth Disp{ay Home? ❑ Yes o !f yes, a specia/event permit is required witn Poiice Department and City Council appro !60 days prior to the event. Shuttie bus servi e wil/be required unless appficant demonst;ates sufiicient or-site parking rs available. Non-permitted events will not be alrowed. CONTRACTOR!APPLICANT INrORMATl01�: fvame� '�'L, � � State License # �xpiration Qate: � � � — 1`]� Lead Ceriificafion Number: �xpiration Qate: (for work on homes fhat were constructed prior fo 1978 Phone: '� � —C.��� (offic�) (cell) Maifing Address: �1� Ciiy: � 1�.����ZIP: Contact Person: � �,� � � ppiicant is: Contractor / Hameowner �Gircle One) crr,ail and/or Fax: `2� �S ,� C4,�� , PROP�RTY OWN�R IN�ORMAT\IO\� N a m e: ���i1� C�� `�-'� Phone (day): -- �,3�^l—' `�.��o ' Address: ' '� �� l '� City:��'C�� ZIP: Email and/or rax PRaJcGT INFOrZMe�el'IOR: Type of Project: I Any earth movement rr�ay require ❑ Door(s) � ❑ Remodel ❑ �ire Camage � MCWD review&permits: I Ninnehana Creek Watershed District(MCWD) -roof, asphalt � ❑ Repair ❑ Storm Damage I 15202 Minnetonl;a Bfvd ❑ Re-roof, ce�ar I ❑ Restoration ❑Waier Gamage � Deephaven, Mh� 55391 Phone: 952-471-Q590 ❑ Re-roof, other(speci"ry) I� ❑ Siding ❑ Other. (soecify) Far.: 952-471-OoE2 ❑Window(s) I www.minnehahacreek.orq , Ove�all Froject Des;.ripfiaR: �sfirriatecE Construcfion Vafuatior, of Pro�ect (exciucfing �and) $ �'� � —�_ APPLI��►�T �CFrf�OWL�D��M�f�T: i � Agrees to provide all infiormaiion required or requested by tne Building Department • Certifies that the inTormafion suppiied is true and correct to the best of nis/ner knowledge. The appficant recognizes that tney are sofefy responsible for submitiing a compfete appiicaiion being aware that upon �ailure to do so, tne staff has no aliernative I but to reject it unfif it is complete; I, � Some or all o` the inTormation that vou are asked to provide on tnis appiication is ciassified b}� State iaw as eitne� privat� o� I confideniial. private da,a is inforrraiion wnicn generally cannot be qiven to the pubiic but can be glven to the suoiect of fhe � da�a. Confideniial data is informatior whicn gene;aliy cannot be given to �itner the pubiic or tne sub,iect or tne aata. Our � purpose and intended use of this information is to annually update our records and records of other governmental agencies reauired b� lav��. If vou reruse to suppfv the information,the aooii�a'tion mav noi be issued. Appfl�anf's Sigraiure: �, Dat�: � � � �l �� ��ast Update�: OF-6y-2D11 �� ���� � � TIME � CITY OF ORONO CALLED IN ����c� INSPECTION NOTICE SCHEDULED PERMIT NO. �L�l� — (ZC�A�L'�COMPLETED ADDRESS � � C' C � � � OWNER TELEPHONE NO. �l - �P�J JC�� CONTRACTOR � T �rn - � DESCRIPTION ��- U � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FIN� ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � w a � � O � � O � W � Q � Z W � W � � d W�N/6RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE 02�� W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours irt advance. �952� 249-46QQ OwnerlContractor on site: Inspector. �% � White Copyllnspector's File Canary Copy/Site Notice I� vI �l'/.� �j v V /L�(i D T TIME CITY OF ORONO �CALLED IN � � INSPECTION NOTICE SCHEDULED � � PERMIT NO. �� �} � .���-L- COMPLETED _� ADDRESS '>.���( ���i�_� I J � OWNER TELEPHONE NO.�� �� - L%�S �� CONTRACTOR {��T�, ��F1'Y�S �; DESCRIPTION �1 Yl C1_ 1 �`��-•�. � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTA ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FI ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: u, �' �-�-(X� �' � ��_ a � � O a � � � C � r� S �ti ��t-�G W � Q � z w � W � � a W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED �! ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN �� CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on site: Inspector. .✓ /T� � (` White Copyllnspector's File Canary CopylSite Notice